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Active NPI 1205022555 Individual Practitioner Male Practitioner

Bryan P Mathieson , NP

Nurse Practitioner • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bryan Mathieson, NP is a certified Nurse Practitioner practicing in Fort Wayne, IN. With approximately 3 years of clinical experience since completing medical education in 2023, Bryan Mathieson delivers high-quality medical care to the local community at 11141 PARKVIEW PLAZA DR STE 305.

Bryan Mathieson maintains professional affiliations with Saint Alphonsus Regional Medical Center Inc, Saint Francis Medical Center, Beaufort County Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11141 Parkview Plaza Dr Ste 305

Fort Wayne, IN 468451715

Telephone 2602668900
Fax 2602668935
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -6.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathieson (3 Years) 3 Yrs
Fort Wayne Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
14 14 $1300.86 $159.74

Medical Specialties & State Licenses

CMS Verified: 2025-12-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71002603A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License ID 78183

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License VA 0024192011

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WI 8890

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MI 4704427019

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 2015002005

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TN 26537

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200889510 (IN)
Medicaid State Provider ID
3124112 (OH)
Commercial Insurance / Payer ID Anthem
000000584893 (IN)

Hospital & Practice Group Affiliations

Saint Alphonsus Regional Medical Center Inc

1055 N Curtis Rd, Boise, ID 837061309

Phone: 2083672121

Saint Francis Medical Center

3250 Gordonville Rd, Cape Girardeau, MO 637035095

Phone: 5733315522

Beaufort County Memorial Hospital

955 Ribaut Rd, Beaufort, SC 299025441

Phone: 8435225775

Bronson Methodist Hospital

601 John St, Kalamazoo, MI 490075377

Bronson Methodist Hospital

2825 Airview Blvd, Portage, MI 490021802

Secondary Practice Locations

601 John St Ste M-325

Kalamazoo, MI 490075358

Phone: 2693417140

410 N State Of Franklin Rd Ste 130

Johnson City, TN 376046972

Phone: 4234312477

999 N Curtis Rd Ste 415

Boise, ID 837061334

Phone: 2083022600

1818 N Meade St

Appleton, WI 549113454

Phone: 9207293100

1701 N Senate Blvd

Indianapolis, IN 462021239

Phone: 3179620582

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
NPI 1043699028

Doctor of Medicine (M.D.)

Julianne Hunter , NP

Nurse Practitioner

NPI 1093278509

Nurse Practitioner

Stacey Boswell , PA

Physician Assistant

NPI 1114268125

Physician Assistant

NPI 1124087135

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Danielle Kammer , NP

Nurse Practitioner

NPI 1235699521

Nurse Practitioner

NPI 1245376110

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2025

Nurse Practitioner (License #0024192011 in VA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2025

Nurse Practitioner (License #26537 in TN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2024

Nurse Practitioner (License #8890 in WI)

📍
Updated Practice Location May 18, 2023

Registered at 11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 468451715 (Tel: 2602668900)

📍
Updated Business Mailing Address May 18, 2023

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2023

Nurse Practitioner (License #71002603A in IN)

📍
Updated Business Mailing Address April 16, 2021

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2016

Registered at 2010 59TH ST W, SUITE 2200, BRADENTON, FL 342094616 (Tel: 9417945621)

📍
Updated Business Mailing Address April 14, 2016

Registered at 2010 59TH ST W, SUITE 2200, BRADENTON, FL 342094616 (Tel: 9417945621)

👤
Provider Name / Credentials Updated April 14, 2016

Recorded as BRYAN MATHIESON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Nurse Practitioner (License #28155878A in IN)

🟢
Initial NPI Registration & Enumeration September 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205022555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2007
Last Update: December 17, 2025
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.